Perivascular adipose tissue as a relevant fat depot for cardiovascular risk in obesity

Obesity is associated with increased risk of premature death, morbidity, and mortality from several cardiovascular diseases (CVDs), including stroke, coronary heart disease (CHD), myocardial infarction, and congestive heart failure. However, this is not a straightforward relationship. Although several studies have substantiated that obesity confers an independent and additive risk of all-cause and cardiovascular death, there is significant variability in these associations, with some lean individuals developing diseases and others remaining healthy despite severe obesity, the so-called metabolically healthy obese. Part of this variability has been attributed to the heterogeneity in both the distribution of body fat and the intrinsic properties of adipose tissue depots, including developmental origin, adipogenic and proliferative capacity, glucose and lipid metabolism, hormonal control, thermogenic ability, and vascularization. In obesity, these depot-specific differences translate into specific fat distribution patterns, which are closely associated with differential cardiometabolic risks. The adventitial fat layer, also known as perivascular adipose tissue (PVAT), is of major importance. Similar to the visceral adipose tissue, PVAT has a pathophysiological role in CVDs. PVAT influences vascular homeostasis by releasing numerous vasoactive factors, cytokines, and adipokines, which can readily target the underlying smooth muscle cell layers, regulating the vascular tone, distribution of blood flow, as well as angiogenesis, inflammatory processes, and redox status. In this review, we summarize the current knowledge and discuss the role of PVAT within the scope of adipose tissue as a major contributing factor to obesity-associated cardiovascular risk. Relevant clinical studies documenting the relationship between PVAT dysfunction and CVD with a focus on potential mechanisms by which PVAT contributes to obesity-related CVDs are pointed out

Validation of the questionnaire of the transtheoretical model of change of physical exercise

El objetivo de este estudio fue traducir y validar al español el Cuestionario del Modelo Transteórico del Cambio de Ejercicio Físico de Prochaska y DiClemente (1983). Se utilizó una muestra de 812 personas, entre los 14 y los 88 años (29,5±21,7). Se realizó un análisis factorial confirmatorio, análisis de consistencia interna y validez predictiva. Los resultados del Cuestionario del Modelo Transteórico del Cambio de Ejercicio Físico presentaron valores adecuados (χ2/g.l = 4,3, CFI = 0,92, IFI = 0,92, TLI = 0,90, RMSEA = 0,06, SRMR = 0,05). La consistencia interna mostró valores encima de .70. Se halló una predicción positiva y significativa de los estadios más activos del Modelo Transteórico sobre la intención de ser físicamente activo. Este estudio ha permitido proporcionar un cuestionario válido y fiable para evaluar el estadio en el que se encuentran las personas con respecto a la práctica de ejercicio físico, en el ámbito españolThe aim of this study was to translate and validate in Spanish the Questionnaire of the Transtheoretical Model of Change of Physical Exercise, of Prochaska and DiClemente (1983), and also to make adaptations and modifications as needed. The sample was composed of 812 people, aged between 14 and 88 years (29.5+21.7). Confirmative factorial analysis, analysis of internal consistency and of predictive validity were carried out. After the confirmative factorial analysis, the Questionnaire of the Theoretical Model of Change of Physical Exercise showed acceptable results (x2/g.1=4,3, CFI=0,92, IFI= 0.92, TLI = 0.90, RMSEA = 0.06, SRMR = 0,05). Similarly, internal consistency obtained from the respective dimensions showed values above .70. A positive and significant prediction of the most active stages of the Transtheoretical Model (action and maintenance) was found on the ‘intention to be physically active’. This study has enabled the provision of a valid and reliable questionnair

Composição centesimal da castanha-do-brasil (Bertholletia excelsa) comercializada em Macapá e Santana (AP).

O objetivo deste trabalho foi avaliar o valor nutritivo através da composição centesimal da amêndoa da castanha-do-brasil comercializada nas quatro principais feiras dos municípios de Macapá e Santana oriundas das reservas de Iratapuru, Cajari e Maracá

Transcontextual model of motivation in the preaching of healthy lifestyles

El presente trabajo examinó la aplicación del Modelo Transcontextual de la Motivación en la predicción de estilos de vida saludables de atletas veteranos. Se utilizó una muestra de 682 atletas veteranos portugueses de ambos géneros, de edades comprendidas entre los 30 y los 76 años (M=43.64; DT=8.25), dónde a través de cuestionarios se ha medido: la satisfacción de las necesidades psicológicas básicas, la motivación, las variables del comportamiento planeado y los estilos de vida saludables. De las conclusiones alcanzadas en este trabajo, son de destacar la relevancia de fomentar la necesidad psicológica básica de relación social, ya que ésta favorecerá la motivación intrínseca, promoviendo un mayor control del comportamiento sobre las intenciones de los practicantes, generando así mejores hábitos alimenticios, hábitos de descanso y menor consumo de tabacoThe present paper has examined the application of the Transcontextual Model of motivation in the prediction of healthy lifestyles of veteran athletes. A sample of 682 Portuguese veteran athletes of both sexes, aged between 30 and 76 years (M = 43.64; SD = 8.25), were administered the following questionnaires: satisfaction of needs basic psychological, self-determination motivation, planned behavioral variables and healthy lifestyles. From the conclusions reached in this work, it is important to emphasize the importance of fostering the basic psychological need of relatedness, since this will favor the intrinsic motivation, promoting greater control of behavior over the intentions of practitioners, thus generating more healthy eating habits, rest habits and lower tobacco consumptio

Pandemic influenza control in Europe and the constraints resulting from incoherent public health laws

© 2010 Martin et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.Background: With the emergence of influenza H1N1v the world is facing its first 21st century global pandemic. Severe Acute Respiratory Syndrome (SARS) and avian influenza H5N1 prompted development of pandemic preparedness plans. National systems of public health law are essential for public health stewardship and for the implementation of public health policy[1]. International coherence will contribute to effective regional and global responses. However little research has been undertaken on how law works as a tool for disease control in Europe. With co-funding from the European Union, we investigated the extent to which laws across Europe support or constrain pandemic preparedness planning, and whether national differences are likely to constrain control efforts. Methods: We undertook a survey of national public health laws across 32 European states using a questionnaire designed around a disease scenario based on pandemic influenza. Questionnaire results were reviewed in workshops, analysing how differences between national laws might support or hinder regional responses to pandemic influenza. Respondents examined the impact of national laws on the movements of information, goods, services and people across borders in a time of pandemic, the capacity for surveillance, case detection, case management and community control, the deployment of strategies of prevention, containment, mitigation and recovery and the identification of commonalities and disconnects across states. Results: Results of this study show differences across Europe in the extent to which national pandemic policy and pandemic plans have been integrated with public health laws. We found significant differences in legislation and in the legitimacy of strategic plans. States differ in the range and the nature of intervention measures authorized by law, the extent to which borders could be closed to movement of persons and goods during a pandemic, and access to healthcare of non-resident persons. Some states propose use of emergency powers that might potentially override human rights protections while other states propose to limit interventions to those authorized by public health laws. Conclusion: These differences could create problems for European strategies if an evolving influenza pandemic results in more serious public health challenges or, indeed, if a novel disease other than influenza emerges with pandemic potential. There is insufficient understanding across Europe of the role and importance of law in pandemic planning. States need to build capacity in public health law to support disease prevention and control policies. Our research suggests that states would welcome further guidance from the EU on management of a pandemic, and guidance to assist in greater commonality of legal approaches across states.Peer reviewe

Produtos e subprodutos da castanha-do-brasil no Estado do Amapá.

A castanha-do-brasil é uma espécie nativa da Amazônia, com ampla distribuição, sendo uma das mais nobres e valiosas da floresta, devido ao seu aproveitamento tanto em termos madereiros como também de seus frutos. Participando na dieta alimentar em várias regiões do Amazonas. O presente documento foi elaborado visando apresentar informações à população, principalmente em termos de composição das vitaminas, minerais e seus óleos essenciais, não apenas em termos quantitativos, mas também em termos qualitativos, que é o enfoque mais moderno nos principais estudos mundiais.bitstream/item/71202/1/AP-2001-produtos-subprodutos-castanha-do-brasil.pd

Comparative study of the degree of patient satisfaction in intermittent catheterization with Lofric and polyvinyl chloride catheters

Actas Urol Esp. 2001 Nov-Dec;25(10):725-30. [Comparative study of the degree of patient satisfaction in intermittent catheterization with Lofric and polyvinyl chloride catheters]. [Article in Spanish] López Pereira P, Martínez Urrutia MJ, Lobato L, Rivas S, Jaureguizar Monereo E. SourceUnidad de Urología Infantil, Hospital Universitario La Paz, Madrid. Abstract PURPOSE: To assess the grade of satisfaction in children on intermittent catheterization with the use of LoFric and PVC conventional catheters. MATERIAL AND METHODS: A total of 40 p with experience in CIC were included in this study. An anonymous questionnaire was sent to all patients after 2-months using the LoFric catheter. Patients were divided in 3 groups (bladder augmentation, artificial sphincter, Mitrofanoff) because of major differences in CIC discomfort between these groups. RESULTS: The questionnaire was completed by 87.5% of the patients (35 p). In 86% (30 p) LoFric catheter training was easy or very easy but in 14% (5 p) it was difficult. Four patients had some difficulty during conventional catheter insertion, in 3 (75%) the difficulty disappeared with the use of LoFric catheter. Of the 51% (18 p) who reported some discomfort during the insertion of conventional catheter, 72% said it was eliminated when the LoFric catheter was used. Of 6 p with some discomfort when removing the conventional catheter, 5 (83%) said it disappeared with the new catheter. Th LoFric catheter was favored by 70% of patients because it reduced the discomfort caused by conventional catheters, bladder insertion was easier and smoother, and gel lubrication was not needed. The 17% of patients reported some difficulty dealing with this slippery catheter. CONCLUSIONS: The use of the LoFric catheter could be justified in patients who report with conventional catheters have some discomfort. It can also be recommended in patients with artificial sphincter, bladder augmentation and Mitrofanoff procedure, in whom any complication related to CIC would have serious consequences

Avaliação físico-química da água de coco-anão cultivado no Estado do Amapá.

Publicado também em: FRAZÃO, D. A. C.; HOMMA, A. K. O; VIÉGAS, I. de J. M. (Ed.). Contribuição ao desenvolvimento da fruticultura na Amazônia. Belém, PA: Embrapa Amazônia Oriental, 2006. p. 349-354

Rewiring strategies for changing environments

A typical pervasive application executes in a changing environment: people, computing resources, software services and network connections come and go continuously. A robust pervasive application needs adapt to this changing context as long as there is an appropriate rewiring strategy that guarantees correct behavior. We combine the MERODE modeling methodology with the ReWiRe framework for creating interactive pervasive applications that can cope with changing environments. The core of our approach is a consistent environment model, which is essential to create (re)configurable context-aware pervasive applications. We aggregate different ontologies that provide the required semantics to describe almost any target environment. We present a case study that shows a interactive pervasive application for media access that incorporates parental control on media content and can migrate between devices. The application builds upon models of the run-time environment represented as system states for dedicated rewiring strategies